Healthcare Provider Details

I. General information

NPI: 1477539021
Provider Name (Legal Business Name): JAMES MICHAEL ANDREWS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 IRELAND AVE IRELAND ARMY COMMUNITY HOSPITAL
FORT KNOX KY
40121-5111
US

IV. Provider business mailing address

PO BOX 558
FORT KNOX KY
40121-0558
US

V. Phone/Fax

Practice location:
  • Phone: 502-624-0203
  • Fax:
Mailing address:
  • Phone: 270-801-5766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberDOS-916
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: